Customer Care
Initiative — State Engagement Underway

AI at the frontline of India's public health system.

Sara+Care® is assembling a consortium to bring AI-enabled clinical decision support, screening, and care continuity to Health and Wellness Centres — operationalising the workforce India's public health system already trusts.

5
Capability Layers
2
Pilot Districts
250+
Wellness Centres
Frontline health worker using a tablet at a Health & Wellness Centre
AI-ECG · Triage in 8s
Cardiac risk flagged at point-of-care
ABDM-aligned
Records flow into the state's BHAVYA
ASHA · ANM · CHO
Equipping the existing workforce
The Opportunity

A burden that has outpaced the system built to carry it.

Non-communicable diseases — hypertension, diabetes, cardiovascular and respiratory illness — now account for the largest share of mortality across India's public health system. The country has invested in a strong frontline workforce and a national digital health spine. What remains is the layer that turns every village-level interaction into a clinical decision.

63%
of deaths in India are attributable to NCDs
Ministry of Health & Family Welfare
~30%
adults living with hypertension; under half are diagnosed
ICMR–INDIAB / NCD STEPS
1.65L+
Ayushman Bharat Health & Wellness Centres operational
National Health Authority
75Cr+
ABHA IDs created under ABDM nationally
ABDM dashboard
The Initiative

A consortium, not a product. An operating layer, not another app.

Sara+Care® is taking the role of consortium principal — assembling India's leading AI clinical software, indigenous medical hardware, digital health integration, and on-ground delivery into a single accountable programme that a state government can deploy under a PPP framework.

Clinical scope

Anchored on hypertension, diabetes and AI-ECG triage in Phase 1. Phase 2 extends to diabetic retinopathy, chest X-ray AI and maternal monitoring.

Hypertension Diabetes AI-ECG

Workforce-first

The programme equips the state's existing ASHA, ANM and CHO cadre — it does not parachute in a new workforce. Training cascades route through state-recognised institutes.

ASHA ANM CHO

Built on the state's spine

Clinical data flows into the state's existing digital health command-and-control infrastructure and onward to ABDM. The programme complements, not duplicates, the state's investment.

ABDM State HMIS ABHA
The Architecture

Five capability layers. One accountable principal.

Each layer is owned by a named partner with a track record at scale. Sara+Care® integrates, deploys and carries outcome accountability — the state government carries the workforce, the facilities and the political ownership.

01
Clinical AI

AI Clinical Software

Validated AI models for screening, triage and clinical decision support — licensed and deployed, not built from scratch. Drawn from India's leading national-programme and commercial AI players.
In discussion with
National public-health AI partners; mature commercial AI partners for cardiac and imaging pathways.
02
Devices

Indigenous Medical Hardware

Made-in-India, certified medical devices — BP monitors, glucometers, AI-ECG units, point-of-care kits — sourced through pre-vetted manufacturers to clear government procurement bars on day one.
Sourcing partner
Sara+Care® in-house manufacturing & a panel of certified affiliated OEMs.
03
Plumbing

Digital Health Integration

ABHA linkage, longitudinal records and integration with the state's existing HMIS / command-and-control infrastructure. We work alongside, not around, the state's incumbent technology partners.
In discussion with
ABDM-native integration partners; state digital health architects on referral.
04
Last Mile

State Workforce Activation

Training cascade routed through the State Institute of Health & Family Welfare; supervisory hierarchy through the District Health Society structure. The state's own workforce delivers — we equip them.
Routing through
State Health Society & SIHFW; state-recognised training infrastructure.
05
Accountability

Programme Management Unit

A dedicated PMU headquartered in the state, with district teams, master trainers, quality assurance and M&E. This is our owned delivery muscle — the channel that carries outcome accountability.
Owned by
Sara+Care® — staffed from day one, district-deployed by Month 3.
Map of Bihar highlighting the two pilot districts
The Pilot

Two districts. Three clinical pathways. One year to a defensible outcome.

The Phase 1 deployment is intentionally tight — a contained geography, three high-burden clinical pathways, and an independent baseline-to-endline evaluation through an academic anchor. The brief is to produce evidence the state can scale.

Geography
Two districts · Bihar
Facilities
250–350 HWCs
Population served
~1.5–2 million
Phase 1 horizon
12 months · evidence to scale
Hypertension
Screening, BP capture, risk stratification, longitudinal follow-up.
Phase 1
Diabetes
Opportunistic glucose screening, AI-assisted risk scoring, referral flow.
Phase 1
AI-ECG cardiac triage
12-lead ECG with AI interpretation at the HWC — minutes, not days.
Phase 1
Diabetic retinopathy & chest X-ray AI
Imaging-based screening pathways, expanded after the Phase 1 evidence.
Phase 2
Advisory Bench

The people who give this initiative standing.

A consortium of this ambition is only as credible as the people who stand behind it. The Sara+Care® advisory bench combines policy authority, academic rigour and operational experience — the three lenses every state health investment is scrutinised through.

Policy & Government
Senior Bureaucrats
Former and serving senior bureaucrats from India's health, medical-device and digital-health policy apparatus — guiding regulatory alignment, public-procurement readiness and state engagement.
Health policy · Medtech · Digital health
Academic Anchor
IISc Faculty
Indian Institute of Science — research depth across AI in clinical signal processing, public-health data and evaluation methodology.
Bengaluru
Programme Design
IIM Lucknow Faculty
Health-systems strategy, public-private partnership design and outcome-based contracting at the state level.
Lucknow
Public Health
Public Health PhD
Senior public-health expertise — programme evaluation, NCD epidemiology and frontline-workforce capacity-building in Indian states.
India
Consortium Partners

A consortium in active formation.

Below is the partner stack the initiative is assembling across the five capability layers — drawn from India's leading clinical AI, indigenous manufacturing, digital health and academic institutions.

Layer 01AI Clinical Software
National public-health AI Cardiac AI Imaging AI
Layer 02Indigenous Hardware
Sara+Care® medical devices Affiliated indigenous OEMs Point-of-care diagnostics
Layer 03Digital Health
ABDM integration State HMIS integrator ABHA-linked records
Layer 04State Workforce
State Health Society SIHFW training cascade District Health Society
Layer 05Evaluation
Premier medical institution IIT — technical collaboration Independent M&E
The Path Forward

From concept to a defensible outcome, in milestones.

In place
State Engagement
Active dialogue with the state government underway; interest confirmed at the senior leadership level; pilot district shortlist agreed in principle.
Live · ongoing
Now
Consortium Formation
Partner alignment across the five capability layers; advisory bench mobilised; concept note in late-stage drafting for formal submission.
Current quarter
Phase 1
Pilot Deployment
PMU stood up; SIHFW training cascade live; hardware and AI rollout across pilot HWCs; baseline data captured by independent evaluator.
Months 0–6 post-MoU
Evidence
Outcome & Scale
Endline evaluation published; outcome data presented to state and central health authorities; pathway to multi-district scale defined.
Months 10–14

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